E004 Rule details

To indicate the coded rule, a number and it's relation to the rule, a start day of service, a monetary amount associated to the rule, and additional information associated with the rule.

Position: 010 · Element: 4183 · Name: Special condition code · Type: String (AN) · Requirement: Mandatory · Min: 1 · Max: 3 · Repeat: -

Code specifying a special condition.

Position: 020 · Element: 6350 · Name: Units quantity · Type: Numeric (N) · Requirement: Conditional · Min: 1 · Max: 15 · Repeat: -

To specify the number of units.

Position: 030 · Element: 6353 · Name: Unit type code qualifier · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 3 · Repeat: -

Code qualifying the type of unit.

Position: 040 · Element: 5479 · Name: Relation code · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 3 · Repeat: -

Code specifying a relation.

1 Code values to be provided.

Position: 050 · Element: 2160 · Name: Days of week set identifier · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 7 · Repeat: -

String data representation of days of the week (Monday = 1).

Position: 060 · Element: 5004 · Name: Monetary amount · Type: Numeric (N) · Requirement: Conditional · Min: 1 · Max: 35 · Repeat: -

To specify a monetary amount.

Position: 070 · Element: 5025 · Name: Monetary amount type code qualifier · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 3 · Repeat: -

Code qualifying the type of monetary amount.

Position: 080 · Element: 6345 · Name: Currency identification code · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 3 · Repeat: -

Code specifying a monetary unit.

1 Use ISO 4217 three alpha code.

Position: 090 · Element: 4440 · Name: Free text value · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 512 · Repeat: -

Free form text.

Position: 100 · Element: 4440 · Name: Free text value · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 512 · Repeat: -

Free form text.

Position: 110 · Element: 4440 · Name: Free text value · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 512 · Repeat: -

Free form text.

Position: 120 · Element: 4440 · Name: Free text value · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 512 · Repeat: -

Free form text.

Position: 130 · Element: 4440 · Name: Free text value · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 512 · Repeat: -

Free form text.

Position: 140 · Element: 4440 · Name: Free text value · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 512 · Repeat: -

Free form text.

Position: 150 · Element: 4440 · Name: Free text value · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 512 · Repeat: -

Free form text.

Position: 160 · Element: 4440 · Name: Free text value · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 512 · Repeat: -

Free form text.

Position: 170 · Element: 4440 · Name: Free text value · Type: String (AN) · Requirement: Conditional · Min: 1 · Max: 512 · Repeat: -

Free form text.